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Why Quarantine, Isolation, And Social Distancing Are Important

Coronavirus is what’s on everyone’s mind right now, along with what has to be done in order to slow the spread. Quarantine, isolation, and social distancing are all terms being continually being used at the moment, but what does that mean for your daily routine? We’re committed to keeping our patients informed, so we wanted to take some time to explain why distancing, quarantine, and isolation are important, and what you should be doing if you find yourself having to isolate or quarantine.

How coronavirus is spread


Coronavirus has been spreading easily and sustainably through affected areas, and it is prone to community spreading. This is the reason why social distancing and quarantine are so important, especially if you have been exposed to the virus or are showing symptoms.

Coronavirus is believed to mainly be spread from person-to-person. It happens when someone is within close proximity (less than 6 feet) of someone with the virus, or if they are exposed to respiratory droplets created when the infected person coughs or sneezes. These droplets, once formed, can easily be inhaled into the lungs or land in the mouths or noses of people nearby.

It is also believed that people are most contagious when they are showing symptoms. While it’s possible that people may spread the virus before they begin showing symptoms, this is not considered to be a main way that coronavirus is spread. That’s why it’s important to be aware of symptoms, even if they are mild. Coming into contact with objects that have been contaminated by the virus is another way that coronavirus may be spread, but again, this is not considered to be the main source of spread. It is most likely to be spread by direct, face-to-face contact with someone that is ill.

Of course, in order to monitor yourself for symptoms of the virus, it’s important to know what you need to be looking for.

Symptoms of Coronavirus


Even if you have mild symptoms of coronavirus, it’s important to limit your interaction with the public as much as possible. We all need to be alert and monitor our own symptoms in order to keep ourselves and everyone around us safe.

Symptoms of coronavirus include fever, cough, and shortness of breath. It is believed that these symptoms begin showing within 2-14 days of exposure, based on prior cases of coronavirus and the incubation for MERS-CoV viruses.

There are also more severe symptoms of coronavirus, considered emergency warning signs, and if you or anyone you know begins showing these symptoms, you will need to seek medical attention immediately. These emergency warning signs include the following:

  • Difficulty breathing or shortness of breath
  • Persistent pain or pressure in chest
  • New confusion or ability to arouse
  • Bluish lips or face

In order to make sure that both you and your community stay safe, it’s important to be alert to how you’re feeling and to take any signs of sickness seriously.

Social Distancing


Because even sources like the CDC do not have a clear or comprehensive guide of what to do when practicing social distancing, it’s understandable that there is confusion on the subject. Fortunately, public health experts have weighed in on the topic.

Although you may be symptom-free and not part of a high-risk group, you should avoid gathering in public spaces. If you do venture out, though, you should try to make an effort to go out when you know that few people will be out, and when you are around others, you should try to maintain at least 6 feet between yourself and others. When it comes to work, you should work from home if that is an option for you, but if you have to be at work, drive yourself or use a ridesharing service if possible. If public transportation is your only option, maintain distance between yourself and others, and practice proper respiratory etiquette and good hand hygiene

It’s important to try to limit face-to-face interaction with relatives or anyone you know that is part of a high risk group. The more time you spend around them, the greater the possibility of you spreading the virus to them becomes. Fortunately, there are plenty of options for virtual interaction that will be useful for staying in touch without putting them at risk.

If you do contract symptoms and are advised to go into quarantine, you should not leave your home or go into crowded public spaces until you are told you can leave quarantine. Carolyn Cannuscio, director of research at the Center for Public Health Initiatives at the University of Pennsylvania states, “For people who live in areas that are not densely populated, walking around in their yard is probably safe. The idea is that they should not come into contact with any other people. They need to be strict about it. We are not going to defeat this and halt transmission if people loosely interpret what it means to self-quarantine or self-isolate.

How to self-quarantine


Before discussing how to self-quarantine and self-isolate, it’s important to note the distinction between the two. According to the CDC,  isolation “separates sick people with a contagious disease from people who are not sick,” while quarantine “separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.”

In the case that you need to quarantine, health officials are recommending that you remain in quarantine for a full 14 days, in order to ensure that you do not contribute to the spread of coronavirus. A study of people who had contracted coronavirus showed that 98% of people showed symptoms by day 12 of contracting the virus. It is also important to notify your healthcare provider before you begin isolation or quarantine because they may be able to recommend tips on how to best protect yourself and the people around you, as well as warning signs that you should look out for that may indicate a need to see your doctor in person or go to a hospital.

If others live with you, it will be important to keep a distance from them for the duration of your quarantine. If possible, remain in a separate room and use a separate bathroom from others. It is also important to avoid sharing personal items and make sure they are thoroughly washed with soap and water after use. Clean and disinfect high touch areas on a daily basis as well, and remember to practice good hand hygiene and respiratory etiquette. You should also wear a face mask when around caregivers or healthcare providers. Keeping a distance from your pets will also be important, and if possible, you should have someone else care for them in the meantime.

Coming Out of Isolation


If you are confirmed to have coronavirus, it is important to remain in isolation until you are instructed to leave. Leaving isolation before you are instructed will increase your risk of spreading the virus to anyone you come into contact with. Of course, the decision to end isolation will have to be made on a case-by-case basis, as everyone will react differently to the virus, so make sure to maintain communication with your healthcare provider(s) and local health departments.

As Dr. Nancy Gin, medical director of quality and clinical analysis for Kaiser Permanente in Southern California said, “We need to respect this coronavirus, but not fear it.” The best thing we can all do at the moment is to take preventive steps and stay informed by following trustworthy sources, including the WHO, CDC, and FDA.

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Matthias H. Wiederholz, M.D.

  • 4126 Southwest Freeway Suite# 1300 Houston, TX 770275
  • (346) 217-1111
  • 903 US-202 Ste A Raritan, NJ 08869
  • (908) 751-0980

Founding Partner, Triple Board Certified – Physical Medicine & Rehabilitation; Sports Medicine; Anti-Aging, Regenerative & Functional Medicine

Dr. Matthias H. Wiederholz is cofounder of Performance Spine & Sports Medicine, LLC. He is a fellowship-trained interventional pain physician whose clinical interests include: Interventional Pain Management, Sports Medicine, Musculoskeletal Medicine, Minimally-Invasive Spine Surgery, Non-Surgical Orthopedics, and Anti-Aging / Functional Medicine.

He received his specialty training in Physical Medicine and Rehabilitation at Baylor College of Medicine in Houston, Texas where he served as chief resident. He completed fellowship training in Interventional Pain Management in Marietta, Georgia. He is board-certified in Physical Medicine & Rehabilitation and Sports Medicine. He also received advanced fellowship training through the American Academy of Anti-Aging Medicine and is board-certified in Anti-Aging, Regenerative & Functional Medicine.

Dr. Wiederholz performs a myriad of interventional pain procedures including, but not limited to the following: epidural steroid injections, facet joint injections, radiofrequency ablation, sacroiliac joint injections, discography, percutaneous disc decompression, epidural lysis of adhesions spinal cord stimulator implants, and minimally-invasive discectomies. Endoscopic spine surgery is a very unique and valuable tool in his armamentarium and makes Dr. Wiederholz one of the most specialized physicians in the field of Pain Medicine.

Dr. Wiederholz uses musculoskeletal ultrasound in the diagnosis of musculoskeletal injuries. He incorporates ultrasound for precise injection therapy including cortisone injections, prolotherapy, and PRP (platelet rich plasma). This technology is also utilized to perform the Tenex procedure, a percutaneous procedure for treating chronic tendon pain (tennis elbow, rotator cuff, plantar fasciitis, etc).

Dr. Wiederholz is the fellowship director for the sports and spine fellowship at Performance Spine & Sports Medicine. Dr. Wiederholz holds an affiliation with Capital Health System and JFK Johnson Rehabilitation Institute.

Being advanced fellowship trained in Anti-Aging, Regenerative & Functional Medicine means that Dr. Wiederholz has the most advanced training in Anti-Aging Medicine available. He is a leading expert in Bio-Identical Hormone Restoration and helps patients achieve wellness through nutrition, lifestyle, and hormone therapies.

Kevin Pauza, M.D. - Texas Spine and Joint Hospital

Prior to attending Penn State University, Dr. Pauza earned his undergraduate degree from Lehigh University, and furthered his training with a Surgical and Medical Internship at Columbia University College of Physicians and Surgeons. He continued his specialty training at the University of Pennsylvania, followed by an Interventional Spine Fellowship. In addition to his research, philanthropic, and clinical endeavors, Dr. Pauza remains a motivated educator. He established a Spine Fellowship program and continues training physicians from around the world. He heads international committees responsible for establishing standards and educating surgical and non-surgical physicians.

  • 801 Turtle Creek Dr., Tyler, Texas 75701
  • 903-593-2222

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Wendi Lundquist, D.O. - Active Life Physical Medicine & Pain Center

Dr. Lundquist is the Medical Director and founder of Active Life Physical Medicine & Pain Center, Innovative Surgery Center, and Regena Spa. She is dual board certified in Physical Medicine and Rehabilitation along with Pain Management and a diplomat with the American Board of Pain Medicine. She completed her training at Loyola University in Chicago, Illinois in July of 2005. During her time there, she served as Chief Resident and was involved in several research projects. Prior to, she completed medical school at Midwestern University at the Arizona College of Osteopathic Medicine campus in Glendale, Arizona and internship at Doctors Hospital in Massillon, Ohio. She also has a Bachelor of Science in Biology and minor in Chemistry from the University of New Mexico in Albuquerque. She has a special interest in sports medicine, pain and spine. With 17 years experience, she has great enthusiasm towards regenerative medicine.

  • 13575 W. Indian School Road, Litchfield Park, AZ 85340
  • 623-535-9777

Maxim Moradian, M.D. - Interventional Spine Care & Orthopedic Regenerative Experts

Dr. Moradian is triple-board certified in Physical Medicine and Rehabilitation (PM&R), Sports Medicine and Pain Management. Dr. Moradian’s clinical practice is devoted to the comprehensive care of spine, joint, muscle, tendon, ligament, and peripheral nerve disorders. He is proficient in performing advanced, minimally-invasive procedures under fluoroscopic and/or ultrasound guidance in the entire spine. Dr. Moradian performs electrodiagnostic testing (EMG/NCS) for the accurate diagnosis of muscle and/or nerve disorders. He has a special interest in regenerative medicine, sports concussions, neuromuscular ultrasound, medical education, and clinical research. His true passion is to treat his patients like his family and friends.

  • 51 N. 5th Ave, Suite 301., Arcadia, California 91006
  • 626-460-1096

Haley Burke, M.D. - Mile High Sports and Rehab

Dr. Burke is board-certified in both Interventional Pain Management and Neurology and has completed an accredited Pain Fellowship with the Department of Anesthesiology at MD Anderson Cancer Center, one of the nation’s most prestigious hospitals. Dr. Burke completed her residency in Neurology at the University of Colorado, where she received the department’s ‘Excellence in Teaching’ award during her year as Chief Resident. Her Doctor of Medicine degree was completed at the University of Texas Health Science Center, where she was elected to the ‘Gold Humanism Honor Society.’

  • 2490 W. 26th Ave. Suite A-10., Denver, Colorado 80211
  • 303-331-6744

Desmond Hussey, M.D. - NASA Neuroscience and Spine Associates. P.L

Dr. Hussey earned his undergraduate degree from Dartmouth College, and proceeded to earn his Medical Degree from The University of Miami School of Medicine. He then attended Northwestern University Internal Medicine Program, followed by a Neurology Residency Program at Emory University. Dr. Hussey continued his specialty training at John Hopkins University pain clinic. A member of The Spinal Injection Society and The American Academy of Neurology and Psychiatry.

  • 130 Tamiami Trail North, Ste. 250., Naples, Florida 34102
  • 239-631-7150

Dmitry Buyanov, M.D. - IV Infusion Treatment Center

Dr. Buyanov is originally from Kiev, Ukraine. He received his training in Anesthesiology and his Interventional Pain Management Post-Doctoral at Penn State Medical Center, PA. Dr. Buyanov moved to San Antonio in 2003 at which time he was part of a multi-specialty group before he founded Premier Pain Consultants in 2004. His practice has over 5000 active patients in his practice. Dr. Buyanov treats his patients in a cost-effective manner although giving them the best care with interventional pain treatments/procedure to help each patient improve their quality of life. Dr. Buyanov strongly believes in an individualized and multidisciplinary approach to pain management, he believes in the Buddhist saying: “pain is inevitable but suffering is optional”. He works closely with the area internists, physical therapists, chiropractors, psychiatrists, neurologists, and spine surgeons to insure that each patient has the most optimal individualized treatment plan. Dr. Buyanov enjoys spending his spare time with his children.

  • 831 Coral Ridge Drive, Coral Springs, Florida 33071
  • 2102989004

Mark Reecer, M.D. - Fort Wayne Physical Medicine

Dr. Mark Reecer is board certified in Physical Medicine & Rehabilitation and Pain Management. He has over 20 years of work comp experience, and he routinely provides Independent Medical Examinations (IMEs) for the Indiana Workers’ Compensation Board. Dr. Reecer has lectured extensively and has authored multiple publications that promote his specialty and the use of treatment modalities to eliminate pain, improve function and avoid surgery.

  • 5750 Coventry Lane, Suite 101, Fort Wayne, Indiana 46804
  • 260-436-9337

Travis Foxx, M.D. - Premier Anesthesiology & Pain

  • 6500 W.143rd St., Overland Park, Kansas 66223
  • 913-626-4633

Janet Pearl, M.D. - The Boston Stem Cell Center

Dr. Janet Pearl has been in practice since 1999 and is the Medical Director of The Boston Stem Cell Center. She is also the Medical Director of  Complete Spine and Pain Care  an interventional integrated Pain Management practice, both located in Framingham, Massachusetts. Dr. Pearl is Triple Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology and has over 20 years experience in doing these procedures.

Previously, Dr. Pearl was the Co-Director of the Pain Management Center at St. Elizabeth’s Medical Center, where she was also the Director of the Pain Management Fellowship program.

After graduating from Harvard College with an A.B. in Applied Mathematics with Economics, Dr. Pearl received a M.Sc. in Health Planning and Financing at the London School of Hygiene and Tropical Medicine. She then received her M.D. from the Columbia College of Physicians and Surgeons, where she represented the Medical School as a senator in the Columbia University Senate.

Watch Dr Pearl give an introduction to The Boston Stem Cell Center

Dr. Pearl completed her internship in Internal Medicine at New England Deaconess Hospital, her residency in Anesthesiology at the Massachusetts General Hospital, and her fellowship in Pain Management at the Brigham and Women’s Hospital. Dr. Pearl was the first resident ever to serve on the Accreditation Council for Graduate Medical Education (ACGME)’s Residency Review Committee for Anesthesiology. She is a Joseph Collins Scholar and a Rotary Scholar and was awarded the AMA/Glaxo Welcome and AMA/Burroughs Welcome Resident Leadership Awards.

From 2004 to 2010, Dr. Pearl served on the University of Massachusetts Board of Trustees. While there she chaired the Committee on Science, Technology and Research, was a member of the Committee on Academic and Student Affairs and the Governance Committee and also served as Vice Chair of the Advancement Committee, and as a member of the Committee on Athletics.

Dr. Pearl is Board Certified in Regenerative Medicine, Pain Medicine and Anesthesiology with the American Board of Regenerative Medicine and the American Board of Anesthesiologists.

  • 600 Worcester Rd, Ste 301, Boston, Massachusetts 01702
  • 508-231-2700

Memberships:

  • The American Pain Society;
  • The Massachusetts Medical Society;
  • The Massachusetts Society of Anesthesiologists;
  • The Massachusetts Society of Interventional Pain Physicians;
  • The American Society of Anesthesiologists;
  • The American Society of International Pain Physicians;
  • The American Institute of Ultrasound in Medicine; and,
  • The American Board of Regenerative Medicine.

PUBLIC SERVICE:

  • Member, Massachusetts Department of Industrial Accidents, Health Care Services Board 
  • Member of the Association of Harvard College Class Secretaries and Treasurers
  • Past Member of the Board of Directors of the Harvard Alumni Association
  • Former Member of the Board of Trustees University of Massachusetts. (10/2010 – 10/2014) 

Kevin Pauza, M.D. - Regenerative Sportscare Institute

  • 62 E 88th Street, New York, New York 10128
  • 646-870-7997

SPECIALTY

  • Disc Biologics
  • Interventional Spine

EDUCATION & DEGREES

  • Fellowship: Interventional Spine, University of Pennsylvania
  • Residency: PM&R, University of Pennsylvania
  • Internship: Surgery & Medicine, Columbia University College of Physicians and Surgeons
  • Medical Doctorate: Pennsylvania State University College of Medicine
  • Bachelor of Arts: Biology, Lehigh University
  • Bachelor of Arts: Psychology, Lehigh University

CERTIFICATIONS & LICENSES

  • Texas State Medical and Surgical License
  • New York State Medical and Surgical License
  • Florida State Medical and Surgical License

HONORS

  • Lehigh University Four-year Academic Scholarship
  • Magna Cum Laude, Lehigh University
  • Lehigh University President’s Award
  • Lehigh University Tower Society
  • Distinguished Alumnus, Penn State University (selected from 500,000 Penn State alumni)
  • North American Spine Society, Outstanding Paper of the Year, 2003
  • President-Elect, International Spine Intervention Society
  • Founding Partner, Texas Spine and Joint Hospital
  • Commencement Speaker: Penn State University College of Medicine
  • Advisory Board, AMA
    Keynote Speaker, Harvard Pain Center Commencement
  • Founding Chairman, Standards Committee, International Spine Intervention Society
  • Chairman, Spine Committee, Amercian Academy of Physical Medicine & Rehabilitation
  • Appointed Spine Advisor, Japanese Prime Minister
  • Appointed Spine Advisor, Allied Royal Families

EXPERIENCE

  • Founding Partner & Principal, Texas Spine & Joint Hospital

Gregory Lutz, M.D. - Regenerative Sportscare Institute

Dr. Gregory Lutz is the Founder and Medical Director of the Regenerative SportsCare Institute (RSI). In addition, he currently serves as Physiatrist-In-Chief Emeritus at Hospital for Special Surgery (HSS) and a Professor of Clinical Rehabilitation Medicine at Weill Medical College of Cornell University. Dr. Lutz is one of the world’s leading experts in the field of regenerative interventional orthopedic medicine, appearing annually on Castle Connolly’s and New York Magazine’s “Top Doctors” lists.

  • 62 E 88th Street, New York, New York 10128
  • 6468707997

Thierry Bonnabesse, M.D. - Champlain Spine and Pain Management

  • 294 Tom Miller Rd, Plattsburgh, New York 12901
  • 518-324-7246 Ext 127

Boris Terebuh, M.D. - Regenerative Spine & Joint Center

Boris Terebuh, MD specializes in providing personalized nonsurgical solutions for spine problems that interfere with the function patients desire and the independence they deserve. Dr. Terebuh completed his Physical Medicine & Rehabilitation residency training at The Ohio State University in 1997 and has been in solo practice in Ohio since 2001 because he is committed to providing accessible, individualized and attentive care to his patients. His regenerative approach to solving spine problems enhances the body’s natural ability to heal itself. His guiding principle is integrity – doing what is right for patients in a conscientious manner with the motivation of helping them become fully functional, independent and satisfied. Dr. Terebuh is a very unique Medical Doctor because he has earned seven Board Certifications in the field of musculoskeletal medicine and nonsurgical spine care. Boris Terebuh, MD is delighted to be a Discseel® provider because this revolutionary new technology aligns perfectly with his preferred regenerative treatment approach and patient care philosophy. Dr. Terebuh is also grateful to Discseel® developer, Kevin Pauza, MD, for all the years of diligent and meticulous research to create this innovative, paradigm-shifting intervention, which will certainly spare countless individuals the prospect of avoidable spine surgical procedures.

  • 6860 Perimeter Drive, Suite A., Dublin, Ohio 43016
  • 614-689-0466

Brandon Tolman, D.O. - Integrity Center for Regenerative Medicine

  • 5114 Old Hickory Blvd. Suite 201B, Nashville, Tennessee 37076
  • 615-846-9969

Yasuyuki Nonaka, M.D. - ILC International Lumbago Clinic

  • 1-1-35 Nishiawaji, Higashiyodogawa-ku, Ōsaka-shi, Ōsaka-fu 533-0031
  • +81-6-6210-1905

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Michael Wolff, M.D. - Southwest Spine & Sports

  • 9913 N 95th St., Scottsdale, Arizona 85258
  • 480-766-8255